Organization
JUAN T BIAGTAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN T BIAGTAN MD (OWNER/PRESIDENT)
(262) 780-4358
Entity
Organization
Contact information
Practice address
19475 W NORTH AVE, #308, BROOKFIELD, WI 53045-4199
(262) 780-4358
(262) 780-4002
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30404900
—
WI
Enumeration date
10/09/2006
Last updated
08/27/2010
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